Górecka Małgorzata, Pihut Małgorzata, Kulesa-Mrowiecka Małgorzata
Institute of Dentistry, University Dental Clinic, Montelupich 4, Kraków, Poland.
Folia Med Cracov. 2017;57(4):71-81.
Recent years have shown an increase in the number of patients reporting for treatment of pain due to musculoskeletal joint, associated with temporomandibular joint dysfunction. Therefore, studies were undertaken, aimed at analyzing the symptoms of the dysfunction, because of which patients come to the prosthetic treatment. Aim of the thesis: The aim of the study was a retrospective analysis of symptoms of temporomandibular joint dysfunction reported by patients diagnosed with this problem.
The research material was a retrospective medical records of 120 patients, aged 19 to 45 years who have taken prosthetic treatment due to temporomandibular joint dysfunction in the Consulting Room in Prosthetics Department in Kraków, from June 2015 to December 2016. During the test patients, in addition to interviewing a physician, completed a personal survey in their own study. The material has been divided into I group of patients who reported pain form of dysfunction and II group, who had no symptoms of pain within the stomatognatic system. The analysis covered type of symptoms, the share of local factors (para-functions) and systemic, as well as the time a er which the patients reported for the treatment of functional disorders since the appearance of the first symptoms.
Analysis of the research material showed that the main reason for reporting patients was pain in one or both temporal joints of significant intensity (5 to 8 in VAS scale,) accompanied by acoustic symptoms. A large group of questioners reported problems with the range of jaw movement and head and face pain, as well as subjective symptoms from the auditory, sight, neck, neck and shoulder areas.
近年来,因颞下颌关节功能障碍导致肌肉骨骼关节疼痛前来治疗的患者数量有所增加。因此,开展了一些研究,旨在分析导致患者前来接受修复治疗的功能障碍症状。论文目的:本研究的目的是对被诊断患有该问题的患者所报告的颞下颌关节功能障碍症状进行回顾性分析。
研究材料为2015年6月至2016年12月在克拉科夫修复科诊室因颞下颌关节功能障碍接受修复治疗的120名年龄在19至45岁之间患者的回顾性病历。在测试过程中,患者除了接受医生询问外,还在他们自己的研究中完成了一份个人调查问卷。材料被分为报告功能障碍疼痛形式的第一组患者和口腔颌面部系统内无疼痛症状的第二组患者。分析涵盖症状类型、局部因素(副功能)和全身因素的占比,以及患者自首次出现症状以来报告功能性障碍治疗的时间。
对研究材料的分析表明,患者前来就诊的主要原因是一个或两个颞关节出现高强度疼痛(视觉模拟评分法为5至8分),并伴有听觉症状。一大群受访者报告了下颌运动范围、头部和面部疼痛以及听觉、视觉、颈部、颈部和肩部区域的主观症状方面的问题。